Individual
DR. KEITH METCALF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, BCNSP
Contact information
Practice address
1400 8TH AVE, FORT WORTH, TX 76104-4110
(817) 927-6141
(817) 922-1799
Mailing address
6613 ETON CT, BENBROOK, TX 76132-2774
(817) 737-7778
(817) 737-9333
Taxonomy
Speciality
Code
Description
License number
State
1835N1003X
Nutrition Support Pharmacist
Primary
21043
TX
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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